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Integra Therapeutic Massage, LLC

Physical Therapy Clinic/Center in Orange Park, FL · enumerated 2020 · authorized official Darlene Tan, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376159178

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Registry record

Entity type Organization (Type 2)
Legal business name Integra Therapeutic Massage, LLC
Practice address 1871 Wells Rd Ste 300, Orange Park, FL, 32073
Fax (904) 260-3011
Enumeration date Sep 17, 2020
Last updated in NPPES Sep 18, 2020

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Darlene Tan
Title Administrator

Other identifiers

Identifier Type State Issuer
PT10897 Other FL STATE OF FLORIDA DEPARTMENT OF HEALTH
1174800221 Medicaid FL -
1285070532 Medicaid FL -
PT6934 Other FL STATE OF FLORIDA DEPARTMENT OF HEALTH
PT8535 Other FL STATE OF FLORIDA DEPARTMENT OF HEALTH
PTA27875 Other FL STATE OF FLORIDA DEPARTMENT OF HEALTH

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Integra Therapeutic Massage, LLC?
Integra Therapeutic Massage, LLC is registered in NPPES as a Physical Therapy Clinic/Center (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-18.